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Different types of pelvic osteotomy !! Salter, Pemberton and Steel: Salter innominate osteotomy is a redirectional osteotomy in which the acetabular fragment is rotated anterolaterally to improve femoral-head coverage, mainly for DDH in young children. Pemberton osteotomy is an acetabuloplasty hinging on the triradiate cartilage that reshapes the acetabular roof and increases anterolateral coverage. Steel triple osteotomy involves osteotomies of the ilium, ischium and pubis, allowing greater reorientation of the acetabulum and is useful in older children/adolescents. Sutherland, Chiari and Dial: Sutherland double osteotomy involves the ilium and pubis and allows acetabular reorientation without an ischial cut. Chiari osteotomy is a salvage procedure in which the distal acetabular fragment is shifted medially to provide a bony buttress and improve coverage, mainly for older patients with dysplasia/subluxation. Dial osteotomy is a curved acetabular redirectional osteotomy that rotates the acetabular fragment to improve anterolateral femoral-head coverage. #orthopedicsurgery #SurgicalPearls #orthopedics #pelvicosteotomy #pelvis #osteotomy

Treatment of cavus foot deformity in Charcot–Marie–Tooth disease : A, Plantar fasciotomy. B, Naviculocuneiform wedge resection. C, Fixation of arthrodesis with Kirschner wire. D, First metatarsal dorsiflexion osteotomy. E, Fixation with Kirschner wire. #orthopedicsurgery #SurgicalPearls #OrthopedicEducation #SurgicalSkills #deformitycorrection #orthodeformity

Important points on Hip spica cast : It encompasses the trunk and one or both lower limbs and is commonly used for pediatric femoral shaft fractures and after pediatric hip surgery. For fracture treatment, the usual position is hip 45° flexion with slight abduction (to clear the perineum and facilitate hygiene), knee 45° flexion (to help maintain fracture reduction), and ankle in neutral. The cast extends proximally to the nipple/rib cage for bony support. Distally, it may be single spica (one leg to foot), one-and-a-half spica (one leg to foot, other to knee), or double spica (both legs to foot). For immediate spica application, a common indication is femoral shaft fracture in children <5–6 years with <2 cm shortening. Important complications are loss of reduction, angulation, shortening, compartment syndrome, skin problems, urinary retention, and plaster cast syndrome. Plaster cast syndrome results from duodenal obstruction between the aorta and SMA, causing vomiting, abdominal pain and distension; management includes immediate cast removal, NPO, IV fluids, antiemetics, NG decompression and electrolyte monitoring. In DDH, the hip is placed in the human position—about 95° flexion and 40–45° abduction, which provides good stability while reducing the risk of femoral head osteonecrosis. #pediatricorthopedics #orthopedicsurgery #orthopedics #hipspica #spicacast #blountsdisease

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Diagram showing four quadrants for acetabular screw placement. Line A is formed by drawing a line from the anterior superior iliac spine to center of acetabular scocket. Line B is then drawn perpendicular to line A, also passing through center of socket. #orthopedics #SurgicalPearls #arthroplasty #SurgicalTraining

Technique of a nonoperative Ponseti correction of clubfoot: (A) The thumb is positioned over the lateral aspect of the head of the talus and the fingers correct the forefoot. No counterpressure should be applied at the calcaneocuboid joint because the entire foot must be abducted under the talus. (B ) The cavus and adduction are corrected by slight supination of the forefoot in relation to the hindfoot. The forefoot is never everted; rather, it is displaced as a unit. #orthopedics #MedEd #knowledge #usmle #pediatricorthopedics

📘 Apley's System of Orthopaedics & Fractures 📋 First Poll of Each Chapter — Quick Navigation Index 💾 Save this message to track your progress & revisit any chapter! ━━━━━━━━━━━━━━━━━━━━━ 📗 PART 1 — GENERAL ORTHOPAEDICS ━━━━━━━━━━━━━━━━━━━━━ 🦴 Chapter 1 — Diagnosis in Orthopaedics 🔗 https://t.me/OrthoPoLLs/8119 🦠 Chapter 2 — Infection 🔗 https://t.me/OrthoPoLLs/8130 🔥 Chapter 3 — Inflammatory Rheumatic Disorders 🔗 https://t.me/OrthoPoLLs/8141 💎 Chapter 4 — Crystal Deposition Disorders 🔗 https://t.me/OrthoPoLLs/8152 🦿 Chapter 5 — Osteoarthritis 🔗 https://t.me/OrthoPoLLs/8163 💀 Chapter 6 — Osteonecrosis and Related Disorders 🔗 https://t.me/OrthoPoLLs/8176 ⚡ Chapter 7 — Metabolic and Endocrine Disorders 🔗 https://t.me/OrthoPoLLs/8191 🧬 Chapter 8 — Genetic Disorders, Skeletal Dysplasias & Malformations 🔗 https://t.me/OrthoPoLLs/8204 🔬 Chapter 9 — Tumours 🔗 https://t.me/OrthoPoLLs/8215 🧠 Chapter 10 — Neuromuscular Disorders 🔗 https://t.me/OrthoPoLLs/8225 ⚡ Chapter 11 — Peripheral Nerve Injuries 🔗 https://t.me/OrthoPoLLs/8236 🏥 Chapter 12 — Orthopaedic Operations 🔗 https://t.me/OrthoPoLLs/8248 ━━━━━━━━━━━━━━━━━━━━━ 📕 PART 2 — REGIONAL ORTHOPAEDICS ━━━━━━━━━━━━━━━━━━━━━ 💪 Chapter 13 — The Shoulder and Pectoral Girdle 🔗 https://t.me/OrthoPoLLs/8325 🦾 Chapter 14 — The Elbow and Forearm 🔗 https://t.me/OrthoPoLLs/8335 ✋ Chapter 15 — The Wrist 🔗 https://t.me/OrthoPoLLs/8345 🤲 Chapter 16 — The Hand 🔗 https://t.me/OrthoPoLLs/8357 🦒 Chapter 17 — The Neck 🔗 https://t.me/OrthoPoLLs/8368 🔙 Chapter 18 — The Back 🔗 https://t.me/OrthoPoLLs/8379 🦶 Chapter 19 — The Hip 🔗 https://t.me/OrthoPoLLs/8390 🦵 Chapter 20 — The Knee 🔗 https://t.me/OrthoPoLLs/8414 🦶 Chapter 21 — The Ankle and Foot 🔗 https://t.me/OrthoPoLLs/8435 ━━━━━━━━━━━━━━━━━━━━━ 📙 PART 3 — FRACTURES & JOINT INJURIES ━━━━━━━━━━━━━━━━━━━━━ 🚑 Chapter 22 — The Management of Major Injuries 🔗 https://t.me/OrthoPoLLs/8446 🔨 Chapter 23 — Principles of Fractures 🔗 https://t.me/OrthoPoLLs/8472 💪 Chapter 24 — Shoulder, Upper Arm & Elbow 🔗 https://t.me/OrthoPoLLs/8506 🦴 Chapter 25 — Forearm & Wrist 🔗 https://t.me/OrthoPoLLs/8517 ✋ Chapter 26 — Hand Injuries 🔗 https://t.me/OrthoPoLLs/8528 🦴 Chapter 27 — Injuries of the Spine 🔗 https://t.me/OrthoPoLLs/8539 🦴 Chapter 28 — Injuries of the Pelvis 🔗 https://t.me/OrthoPoLLs/8550 🦴 Chapter 29 — Injuries of the Hip and Femur 🔗 https://t.me/OrthoPoLLs/8561 🦴 Chapter 30 — Injuries of the Knee and Leg 🔗 https://t.me/OrthoPoLLs/8572 🦶 Chapter 31 — Injuries of the Ankle and Foot 🔗 https://t.me/OrthoPoLLs/8583 ━━━━━━━━━━━━━━━━━━━━━ 💡 Tap any link to jump straight to that chapter's first poll! 🔄 New polls added regularly — check back often! 🏷 @OrthoPoLLs

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🎓 @OrthoPoLLs — Grand Archive Index We’ve reached 7,431 quiz polls spanning the entire orthopaedic curriculum — from basic science to subspecialty boards. To help you navigate this library, we’ve divided the archive into 25 sets of 300 polls each. Think of each link as a rest stop — jump in, test yourself, scroll at your own pace, and come back anytime. 📂 Tap any set below to jump directly inside Telegram. Scroll down to find the polls in that range. ━━━━━━━━━━━━━━━━━━━━ 🔖 SET 1 — Polls 1–300 https://t.me/OrthoPoLLs/1 🔖 SET 2 — Polls 301–600 https://t.me/OrthoPoLLs/332 🔖 SET 3 — Polls 601–900 https://t.me/OrthoPoLLs/657 🔖 SET 4 — Polls 901–1,200 https://t.me/OrthoPoLLs/989 🔖 SET 5 — Polls 1,201–1,500 https://t.me/OrthoPoLLs/1332 🔖 SET 6 — Polls 1,501–1,800 https://t.me/OrthoPoLLs/1653 🔖 SET 7 — Polls 1,801–2,100 https://t.me/OrthoPoLLs/1976 🔖 SET 8 — Polls 2,101–2,400 https://t.me/OrthoPoLLs/2296 🔖 SET 9 — Polls 2,401–2,700 https://t.me/OrthoPoLLs/2619 🔖 SET 10 — Polls 2,701–3,000 https://t.me/OrthoPoLLs/2948 🔖 SET 11 — Polls 3,001–3,300 https://t.me/OrthoPoLLs/3287 🔖 SET 12 — Polls 3,301–3,600 https://t.me/OrthoPoLLs/3614 🔖 SET 13 — Polls 3,601–3,900 https://t.me/OrthoPoLLs/3939 🔖 SET 14 — Polls 3,901–4,200 https://t.me/OrthoPoLLs/4263 🔖 SET 15 — Polls 4,201–4,500 https://t.me/OrthoPoLLs/4582 🔖 SET 16 — Polls 4,501–4,800 https://t.me/OrthoPoLLs/4906 🔖 SET 17 — Polls 4,801–5,100 https://t.me/OrthoPoLLs/5226 🔖 SET 18 — Polls 5,101–5,400 https://t.me/OrthoPoLLs/5564 🔖 SET 19 — Polls 5,401–5,700 https://t.me/OrthoPoLLs/5907 🔖 SET 20 — Polls 5,701–6,000 https://t.me/OrthoPoLLs/6256 ━━━━━━━━━━━━━━━━━━━━ 🔖 SET 21 — Polls 6,001–6,300 https://t.me/OrthoPoLLs/6596 🔖 SET 22 — Polls 6,301–6,600 https://t.me/OrthoPoLLs/6931 🔖 SET 23 — Polls 6,601–6,900 https://t.me/OrthoPoLLs/7301 🔖 SET 24 — Polls 6,901–7,200 https://t.me/OrthoPoLLs/7631 🔖 SET 25 — Polls 7,201–7,431 ✦ https://t.me/OrthoPoLLs/7952 ━━━━━━━━━━━━━━━━━━━━ 📊 Quick Stats: • Total Polls: 7,431 • Sets: 25 (300 each, last set = 231) • Topics: Orthopaedics across all subspecialties • Format: Quiz mode with explanations • Difficulty: Board-level 💡 Bookmark this message so you always have your place in the archive. New polls are added regularly — check back often! 🏷 @OrthoPoLLs

Ligaments Knee injury order of examination

Dear Orthos, Enhance your clinical foundation and test your orthopedic knowledge with our latest interactive review series. 📚🦴 We are launching a comprehensive, chapter-by-chapter review of Apley's System of Orthopedics. To help you solidify key concepts and evaluate your understanding, we have designed a specialized 10-poll set for each chapter. 📝📊 Assess your grasp of essential orthopedic principles and track your progress along the way. 🚀 The review series begins here: 👉 https://t.me/OrthoPoLLs/8119 Best of luck with your continuous learning! ⚕️🔧